THE MERCK PATIENT ASSISTANCE PROGRAM

The Merck Access Program representatives can refer patients to the Merck Patient Assistance Program.

Who is the program for?

Patients who do not have insurance or whose insurance does not cover KEYTRUDA may be eligible for free product from the Merck Patient Assistance Program, if they meet certain financial and medical criteria.

Getting started is simple

• 1.Download and complete the appropriate sections of the enrollment form, OR use the electronic enrollment form.
• 2.Submit electronically, or print and fax the completed downloadable form to 855-755-0518.
• 3.A program representative will contact your patient and your office.